New guidelines on vaccination requirements before entering school
Acute Infection
Suspect: Anyone with 14 days of cough, with or without "whooping" or post-tussive vomiting.
Test: Dacron Swab transported in appropriate media to the public health lab for PCR. Must be obtained from posterior nasopharynx. See demonstration.
Treat:
If <1 year, treat within 6 weeks of cough onset before PCR results are obtained. Provide chemoprophylaxis to househould contacts.
If >1 year, and in close contact with infant <1 year, treat within 3 weeks of cough onset before PCR results obtained. Provide chemoprophylaxis to household contacts.
If >1 year, and not in close contact with infant <1 year, wait for PCR results. If positive, treat and provide chemoprophylaxis to househould contacts.
Report: Complete CMR (confidential Morbidity Report) and submit to public health for any probable or confirmed cases
Vaccinate: Update Tdap immunization for all cases and contacts.
Vaccination
DTaP: Routine Childhood Immunization. See CAIR database for schedule. VIS Statements
Quick Links:
Acute Infection
Suspect: Anyone with 14 days of cough, with or without "whooping" or post-tussive vomiting.
Test: Dacron Swab transported in appropriate media to the public health lab for PCR. Must be obtained from posterior nasopharynx. See demonstration.
Treat:
- If <3 mo, test and treat, admit to hospital with consultation. See June 2011 Managment Guidelines for infection in young infants
- If <1 year, treat within 6 weeks of cough onset before PCR results are obtained. Provide chemoprophylaxis to househould contacts.
- If >1 year, and in close contact with infant <1 year, treat within 3 weeks of cough onset before PCR results obtained. Provide chemoprophylaxis to household contacts.
- If >1 year, and not in close contact with infant <1 year, wait for PCR results. If positive, treat and provide chemoprophylaxis to househould contacts.
Report: Complete CMR (confidential Morbidity Report) and submit to public health for any probable or confirmed casesVaccinate: Update Tdap immunization for all cases and contacts.
Vaccination
DTaP: Routine Childhood Immunization. See CAIR database for schedule. VIS Statements
Tdap for anyone age 7 or above. VIS Statements
Other Links
CDPH Pertussis Home Page.June 2011 Managment Guidelines for infection in young infants: Expert Opinion endorsed by CDPH and AAP.
Case Presentation and Powerpoint on 2010 outbreak in California from Children's Hospital Oakland
Manual of Surveillance of Vaccine Preventable Diseases: Pertussis
Guidelines for the Control of Pertussis Outbreaks